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					                   Shawnee County Community Resources Council
                              Awards of Excellence
                                      NOMINATION FORM
Daily, in Shawnee County, our local government, businesses, non-profits and individuals take tremendous
steps to improve our quality of life, be a steward of the environment, and increase the ability to sustain a
successful community for future generations.

Shawnee County Community Resources Council’s Awards of Excellence honors an individual, non-profit,
government agency and business that is or has made a difference to the quality of life in Shawnee County.
This work may include societal or civic issues, health or environmental concerns, arts and humanities,
philanthropic activities, employee programs or community service. These awards present an opportunity to
recognize those in our community making Shawnee County a great place to call home.

Here is your chance to nominate those making a difference in Shawnee County. Nominate the
person/organization and then plan on celebrating at CRC Awards of Excellence luncheon in 2013.

CRC Award of Excellence for an Individual:
This award honors an individual who has demonstrated a high level of achievement, leadership and talent in
Shawnee County. A person who goes above and beyond the call of duty, not once but time after time. This
should be a person who donates his or her time and effort to promote the quality of life in Shawnee County.
(2010 Winner: Sally Zellers/Safe Streets Coalition | 2011 Winner: Commissioner Shelly Buhler & Councilman
Bob Archer | 2012 Winner: Connie Sanchez/YMCA Safe Visit)

CRC Award of Excellence for a Government Agency:
This award honors a government agency that has and continues to be innovative by initiating a program(s)
and/or process for the betterment of the Shawnee County citizens. (2010 Winner: Topeka Police Department
Policing Unit | 2011 Winner: USD 501 Topeka Public Schools | 2012 Winner: Topeka & Shawnee County
Public Library)

CRC Award of Excellence for a Non-Profit:
This award honors a non-profit for its collaboration with other non-profits, business, foundation or other
entity that has resulted in improved impact and achieved greater outcomes for both organizations because of
their unique association. (2010 Winner: Heartland Visioning | 2011 Winner: Marian Clinic | 2012 Winner:
Boys & Girls Club of Topeka)

CRC Award of Excellence for a Business:
This award honors a business for its innovation, achievements and dedication to Shawnee County. (2010
Winner: WIBW-TV | 2011 Winner: Performance Tire | 2012 Winner: Robuck Jewelers)

Mail completed form to:

Attn: CRC Awards
Community Resources Council
501 SW Jefferson, Suite 30
Topeka, KS 66607

Email completed form to: crcexec@crcnet.org

Previous recipients are eligible for nomination. Questions may be directed to Nancy Johnson at 785-233-
1365.
                     Shawnee County Community Resources Council
                                Awards of Excellence
                                          NOMINATION FORM
My nomination is for a:

___ Individual     ___ Non-profit     ___Government Agency           ___ Business


Who are you nominating?

Name of Nominee: ______________________________________________________________________________________________________

Address: _________________________________________________________________________________________________________________

City: _________________________________________________________ State:_____________________ Zip: __________________________

Phone number: ____________________________________________ Email: ____________________________________________________


How has the nominee made or is working to make Shawnee County a better place to live?
(Not to exceed 500 words)




Tell us about you:

Name: ____________________________________________________________________________________________________________________

Address: _________________________________________________________________________________________________________________

City: _________________________________________________________ State:_____________________ Zip: __________________________

Phone number: ____________________________________________ Email: ____________________________________________________

				
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